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How walking gait changes over time after FAIS surgery in the first year and how these changes in women are still unknown. Aim: To determine biomechanical gait differences between women with FAIS or labral tears and control individuals preoperatively and postoperatively, 3 to 6 months postoperatively. Patients or Others Participants A total of 18 female participants, 9 women in the FAIS group and 9 women in the control group, including 9 women and 9 women in the control group, were included in the study group. Preoperatively and at the 3- and 6-month postoperative sessions, with inter-group comparisons of the Hip Outcome Score Activities of Daily Living subscale and gait biomechanics. Conclusions The biomechanical differences between the two groups became more apparent at three months postoperatively, implying that women with FAIS received more postoperative gait compensations in the short term after surgery.
Source link: https://doi.org/10.4085/1062-6050-0026.21
The Quality Assessment of Diagnostic Accuracy Studies 2 tool was used to assess the Study's methodological validity. MRA found a larger area under the summary receiver operating curve than MRI. MRA could raise the post-test confidence to 0. 78 and lower the post-test probability to 0. 1, which could lower the post-test success to 0. 1 and lower the post-test risk to 0. 21. The Se values of 3. 0 T MRI were similar to MRA, and after dividing the research into two subgroups based on the MR field strength, we found that the Se values of 3. 0 T MRI were similar to MRA. Conclusions Given that 3. 0 T MRI is the most common and fast way to detect suspicious ALT cases, 3. 0 T MRI is more recommended than MRA.
Source link: https://doi.org/10.1186/s13018-022-02981-1
In patients older than 40 years, previous observational studies have shown poor results of arthroscopic surgery for the treatment of acetabular labral tears. Objective: To compare hip arthroscopy versus nonoperative treatment in patients with symptomatic labral tears in patients older than 40 years with limited radiographic osteoarthritis. Methods: Patients older than 40 years who had symptomatic, MRI-confirmed labral tears, and limited radiographic osteoarthritis were randomized 1:1 to arthroscopic surgery using an electronic randomization system, or physical therapy alone using an electronic randomization scheme. At 12 months after randomization, the primary outcomes were the International Hip Outcome Tool and modified Harris Hip Score, and secondary findings included other patient-reported outcome measures and the visual analog scale. Conclusion: In patients older than 40 years with limited osteoarthritis, arthroscopic acetabular labral repair with postoperative physical therapy resulted in improved outcomes than physical therapy alone.
Source link: https://doi.org/10.1177/0363546521990789
Background: After hip arthroscopy for femoroacetabular impingement at a short-term follow-up, recent studies have demonstrated a high rate of return to running. Methods: The data were prospectively collected for patients who underwent hip preservation surgery between July 2008 and November 2011. Patients were refused for preoperative T u00f6nnis osteoarthritis grade u22652, previous ipsilateral hip disease or hip surgery, or Workers' U2019 compensation status, according to TUT2019. Following patient-reported outcome data for the following patient groups: the Harris Hip Score, Non-arthritic Hip Score, Hip Outcome Score, U2013Sports Specific Subscale, and a visual analog scale for pain, were all required for inclusion in the final cohort. Following hip arthroscopy, all patients were advising about the risks of running after hip arthroscopy. Mean 3. 2 3. 2 3. 2 3. 6 3. 2 3. 2 3. 2 3. 6 3. 6 years ago Mean 2. 8 3. 2 3. 2 yrs. SD age at surgery was 32. 4 years u00b1 12. 4 years u00b1 12. 4 years old, and mean body mass index was 22. 9 u00b1 3. 2 years old. Mean Hip Score increase from 67. 5 to 88. 3 percent, from 65. 9 to 88. 3; and mean Hip Score: from 65. 9 to 88. 3; and mean VAS from 5. 2 to 1. 5. Conclusion: Hip arthroscopy for runners of all levels of runners is associated with a significant rise in PROs and a low risk of complications. After a hip arthroscopy at a midterm follow-up, the rate of return to running is moderately high. For runners with signs of femoroacetabular impingement that are resistant to surgical treatment, Hip arthroscopy may be considered. Patients should be advised about the likelihood of returning to running after hip arthroscopy and the risks of running after hip arthroscopy.
Source link: https://doi.org/10.1177/0363546519836429
Background: The research on the effects of labral tear on patient-reported outcomes, midterm pain, and overall patient satisfaction is scant. After hip arthroscopy for femoroacetabular impingement syndrome, the aim of this study was to determine the effect of labral tear length on postoperative outcomes. Methods: In a prospectively gathered database, prospective patients undergoing primary hip arthroscopy for FAIS from January 2012 to January 2016 were identified. U2013Sports Score - United Patients Completed The Hip Outcome Score u2013Activities of Daily Life, updated Harris Hip Score, updated Harris Hip Score, and a visual analog scale for pain and pleasure were among the Hip Outcome Scores compiled by the Hip Outcome Score u2013Sports, as well as the Hip Outcome Score u2013Sports, updated Harris Hip Score, and a psychological analog scale for pain and pleasure. Patients were classified by labral tear length into small or large, based on the receiver operating characteristic curve analysis. A binary logistic regression analysis was conducted to see if labral tear length predicted the likelihood of making the minimal clinically significant difference. Comparing to females, males had a higher incidence of large tears. According to HOS-ADL, HOS-SS, mHHS, and content, there are significant differences in 2-year results between patients with tears 2. 5 and u22652. 5 cm, respectively. Patients with small labral tears had a greater chance of achieving the minimally useful difference between the HOS-SS and the patient-acceptable symptomatic state for the mHHS than those with larger tears, according to a binary logistic regression analysis. Conclusion: After hip arthroscopy for FAIS, labral tear length is independently predictive of patient-reported outcomes. Patients with smaller tears had improved results and a greater chance of achieving a minimally significant difference at the two-year follow-up.
Source link: https://doi.org/10.1177/0363546519831291
Methods Three-hundred and sixty-five patients who underwent magnetic resonance imaging or magnetic resonance arthrogram for hip pain were included in this study. Pelvic incidence was higher in the labral tear group than in the non-labral tear group, according to the researchers. We discovered that the increased age and high pelvic incidence were independently linked to acetabular labral tear when only the patients without FAI were divided into groups with and without acetabular labral tear. Conclusion - Acetabular labral tear has been correlated with high pelvic incidences with or without FAI morphology.
Source link: https://doi.org/10.1007/s00167-022-06881-z
There is little literature describing the connection between the occurrence of the cotyloid fossa relative to the acetabulum and patients with femoroacetabular impingement. We suspect there is an association between the cotyloid fossa coverage percentage of the acetabulum and patient characteristics with FAI. Patients were included in the study of the hip and primary arthroscopic FAI correction surgery between 2015 and 2016. Measurements of the cotyloid fossa width and cotyloid fossa height coverage percentages were conducted on the cotyloid fossa and its immediate lunate cartilage. The CFW coverage percentage was negative correlated with the 12-Item Short Form Health Survey physical component summary score. Conclusion: The CFW and CFH coverage percentages may be related to alpha angle, labral tear size, and a SF-12 physical component summary score in patients with FAI.
Source link: https://doi.org/10.1177/03635465211056958
Despite the fact that anterior hip pain is common in physical therapy, with the hip region being involved in about 5% to 9% of injuries in high school athletes. 1 Although anterior hip pain is a common complaint for which people are referred to physical therapy, a tear of the acetabular labrum is a new addition to the list of physical therapy's list of points of particular concern to physical therapists. Physical therapists should be trained on all of the potential sources and causes of this pain in order to provide the most effective treatment for patients with anterior hip or groin pain, including a tear of the acetabular labrum and the potential causes of these tears.
Source link: https://doi.org/10.1093/ptj/86.1.110
Background: The diagnosis of femoroacetabular bleeding/acetabular labral tear and later making a decision regarding surgery are mainly based on diagnostic imaging and intra-articular hip joint injection methods of unknown reliability. Purpose: Objective: Summarize and evaluate the diagnostic accuracy and clinical value of various imaging techniques and injection techniques relevant to hip FAI/ALT. Findings: On the items of the QUADAS, the search strategy and assessment for risk of bias revealed 25 articles scoring above 10/14. The pretest likelihood of FAI diagnosis was 74%, with the pretest probability of ALT in the studies accounted for 81%. Pooled SN 0. 91; SP 0. 80; +LR 6. 11; and DOR 64. 38; These figures showed that computed tomography arthrography provided the highest overall diagnostic accuracy; however, the meta-analysis showed that computed tomography arthrography gave the highest overall diagnostic precision: pooled SN 0. 91; SP 0. 89 ; +LR 0. 11; and DOR 64. 38 Positive imaging results increased the likelihood that a labral tear existed by a small to minor degree with the use of magnetic resonance imaging/magnetic resonance angiogram and ultrasound, as well as in a modest degree for CTA. The likelihood of a labral tear existed by a minimal degree with the use of MRI and US, a small to moderate degree with MRA, and a modest degree with CTA were reduced by a modest amount with CTA. Despite the fact that the included studies indicated potentially beneficial use of these modalities for the diagnosis of ALT and FAI, our findings show that these findings have limited generalizability and clinical use given the very high prevalence of high pretest prevalence, long confidence intervals, and selection criteria of the studies.
Source link: https://doi.org/10.1177/0363546516686960
Acetabular dysplasia is often associated with intra-articular pathology, such as labral tears, but whether labral tears should be treated at the time of periacetabular osteotomy remains tense. The aim of this research was to compare the clinical findings and radiographic corrections of PAO for acetabular dysplasia in patients with and without labral tears pre-operatively. Patients and Methods We retrospectively reviewed 70 hips in 67 patients with acetabular dysplasia who underwent PAO. Of 47 hips with labral tears pre-operatively, 27 underwent PAO alone, were classified as the labral tear alone group, and 20 underwent combined PAO and osteochondroplasty and were categorized as the labral tear osteochondroplasty group. Conclusion PAO provides a short-term pain relief and functional improvement in patients with or without labral tears. Take home message: PAO provides equivalent short-term pain relief and functional results in patients with acetabular dysplasia, with and without labral tears.
Source link: https://doi.org/10.1302/0301-620x.98b6.36034
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